Middleton Oaks Health and Rehabilitation — nursing home in Winona, MS

Facility type: Nursing home · SNF / NF
CMS provider type: Medicare and Medicaid
Certified beds: 120 CMS-certified beds (not state-licensed beds)
Licensed beds: State licensure is issued by the state survey agency. State license records are not yet ingested for this facility; the federal CMS certification is shown instead.
Average residents per day: 93.5 CMS, MDS-derived
CMS Certification Number: 255171
Certification status: Active CMS certification Verified
First approved (Medicare/Medicaid): Mar 1, 1994
Ownership type: For profit - Corporation
Operator (legal business name): 627 Middleton Road Opco LLC
CMS chain: Avardis Health 38 facilities
Phone: (662) 283-1260
Resident & family council: Both
Sprinklers in all required areas: Yes
Official profile: Medicare Care Compare ↗

Inspection record · CMS window

Verified

Inspections

9

latest Mar 31, 2026

Citations

29

27 health · 2 fire

Harm or worse

4

no immediate jeopardy

Severity	Isolated	Pattern	Widespread
Immediate jeopardy	J·	K·	L·
Actual harm	G4	H·	I·
Potential harm	D15	E6	F3
Minimal	A·	B·	C1

CMS publishes about the three most recent standard surveys plus complaint and infection-control inspections from the prior three years. Older findings leave the dataset; their absence is not evidence they never happened.

CMS Five-Star ratings

Federal · CMS

Overall

Health inspections

Staffing

Quality measures

Penalties · about the last 3 years

Fines

3

$26,053

Payment denials

0

Latest

Mar 31, 2026

Federal certification

Federal · CMS

Authority: Centers for Medicare & Medicaid Services (CMS), surveyed by the state survey agency
CCN: 255171
Program: Medicare and Medicaid
Medicare (SNF): Certified
Medicaid (NF): Certified
Certified beds: 120
First approved: Mar 1, 1994
Located in a hospital: No
Status: Active CMS certification as of CMS release Oct 1, 2026
Evidence: Verified

State license

State licensure is issued by the state survey agency. State license records are not yet ingested for this facility; the federal CMS certification is shown instead. State coverage for Mississippi.

Federal certification and the state license are different records. A nursing home is licensed by the state and, separately, certified by CMS to bill Medicare and/or Medicaid. We link them by the CCN when the state publishes it; otherwise by exact address, house number and street, or exact name within the same ZIP, and label that link as inferred. Never by name alone.

CMS publishes about the three most recent standard surveys plus complaint and infection-control inspections from the prior three years. Older findings leave the dataset; their absence is not evidence they never happened.

Date	Domain	Survey types	Citations	Most severe	Open
Mar 31, 2026	Health	Health Complaint	2	Actual harm	—	Open →
Sep 18, 2025	Health	Health Complaint	2	Potential harm	—	Open →
Mar 27, 2025	Fire safety	Fire Safety Standard	1	Potential harm	—	Open →
Mar 27, 2025	Health	Health Standard	12	Actual harm	—	Open →
Oct 18, 2023	Health	Health Complaint	1	Potential harm	—	Open →
Sep 28, 2023	Fire safety	Fire Safety Standard	0	No citations	—	Open →
Sep 28, 2023	Health	Health Standard	9	Potential harm	—	Open →
Oct 7, 2021	Fire safety	Fire Safety Standard	1	Potential harm	—	Open →
Oct 7, 2021	Health	Health Standard	1	Potential harm	—	Open →

Enforcement

Penalties

Civil money penalties and denials of payment for new admissions, as published by CMS (about the last three years). Amounts may change on appeal.

Date	Type	Amount	Payment denial	Record
Mar 31, 2026	Civil money penalty (fine)	$15,185	—	255171\|Fine\|144496
Mar 27, 2025	Civil money penalty (fine)	$5,434	—	255171\|Fine\|26045
Mar 27, 2025	Civil money penalty (fine)	$5,434	—	255171\|Fine\|26046

Scope × severity

Severity	Isolated	Pattern	Widespread
Immediate jeopardy	J·	K·	L·
Actual harm	G4	H·	I·
Potential harm	D15	E6	F3
Minimal	A·	B·	C1

By concept

Date	Tag	Deficiency	Scope / severity	Correction	Flags
Mar 31, 2026	F-0656	Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Resident Assessment and Care Planning Deficiencies · Clinical care	G · Actual harm Isolated	Corrected Apr 21, 2026	Complaint
Mar 31, 2026	F-0688	Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason. Quality of Life and Care Deficiencies · Clinical care	G · Actual harm Isolated	Corrected Apr 21, 2026	Complaint
Sep 18, 2025	F-0602	Protect each resident from the wrongful use of the resident's belongings or money. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Resident rights & abuse/neglect	D · Potential harm Isolated	Past non-compliance Aug 18, 2025	Complaint
Sep 18, 2025	F-0842	Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. Resident Assessment and Care Planning Deficiencies · Clinical care	D · Potential harm Isolated	Corrected Oct 17, 2025	Complaint
Mar 27, 2025	F-0656	Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Resident Assessment and Care Planning Deficiencies · Clinical care	G · Actual harm Isolated	Corrected Apr 24, 2025
Mar 27, 2025	F-0684	Provide appropriate treatment and care according to orders, resident’s preferences and goals. Quality of Life and Care Deficiencies · Clinical care	G · Actual harm Isolated	Corrected Apr 24, 2025
Mar 27, 2025	K-0321	Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. Smoke Deficiencies · Environment & life safety	D · Potential harm Isolated	Corrected Apr 24, 2025
Mar 27, 2025	F-0550	Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. Resident Rights Deficiencies · Resident rights & abuse/neglect	E · Potential harm Pattern	Corrected Apr 24, 2025
Mar 27, 2025	F-0558	Reasonably accommodate the needs and preferences of each resident. Resident Rights Deficiencies · Resident rights & abuse/neglect	D · Potential harm Isolated	Corrected Apr 24, 2025
Mar 27, 2025	F-0584	Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. Resident Rights Deficiencies · Resident rights & abuse/neglect	E · Potential harm Pattern	Corrected Apr 24, 2025
Mar 27, 2025	F-0677	Provide care and assistance to perform activities of daily living for any resident who is unable. Quality of Life and Care Deficiencies · Clinical care	E · Potential harm Pattern	Corrected Apr 24, 2025
Mar 27, 2025	F-0690	Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. Quality of Life and Care Deficiencies · Clinical care	D · Potential harm Isolated	Corrected Apr 24, 2025
Mar 27, 2025	F-0726	Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. Nursing and Physician Services Deficiencies · Staffing & supervision	F · Potential harm Widespread	Corrected Apr 24, 2025
Mar 27, 2025	F-0761	Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. Pharmacy Service Deficiencies · Medication management	E · Potential harm Pattern	Corrected Apr 24, 2025
Mar 27, 2025	F-0810	Provide special eating equipment and utensils for residents who need them and appropriate assistance. Nutrition and Dietary Deficiencies · Food, nutrition & hydration	E · Potential harm Pattern	Corrected Apr 24, 2025
Mar 27, 2025	F-0842	Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. Resident Assessment and Care Planning Deficiencies · Clinical care	D · Potential harm Isolated	Corrected Apr 24, 2025
Mar 27, 2025	F-0880	Provide and implement an infection prevention and control program. Infection Control Deficiencies · Infection prevention	F · Potential harm Widespread	Corrected Apr 24, 2025
Oct 18, 2023	F-0609	Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Resident rights & abuse/neglect	D · Potential harm Isolated	Corrected Nov 22, 2023	Complaint
Sep 28, 2023	F-0550	Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. Resident Rights Deficiencies · Resident rights & abuse/neglect	D · Potential harm Isolated	Corrected Nov 3, 2023
Sep 28, 2023	F-0565	Honor the resident's right to organize and participate in resident/family groups in the facility. Resident Rights Deficiencies · Resident rights & abuse/neglect	D · Potential harm Isolated	Corrected Nov 3, 2023
Sep 28, 2023	F-0584	Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. Resident Rights Deficiencies · Resident rights & abuse/neglect	E · Potential harm Pattern	Corrected Nov 3, 2023
Sep 28, 2023	F-0645	PASARR screening for Mental disorders or Intellectual Disabilities Resident Assessment and Care Planning Deficiencies · Clinical care	D · Potential harm Isolated	Corrected Nov 3, 2023
Sep 28, 2023	F-0656	Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Resident Assessment and Care Planning Deficiencies · Clinical care	D · Potential harm Isolated	Corrected Nov 3, 2023
Sep 28, 2023	F-0677	Provide care and assistance to perform activities of daily living for any resident who is unable. Quality of Life and Care Deficiencies · Clinical care	D · Potential harm Isolated	Corrected Nov 3, 2023
Sep 28, 2023	F-0761	Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. Pharmacy Service Deficiencies · Medication management	D · Potential harm Isolated	Corrected Nov 3, 2023
Sep 28, 2023	F-0880	Provide and implement an infection prevention and control program. Infection Control Deficiencies · Infection prevention	D · Potential harm Isolated	Corrected Nov 3, 2023
Sep 28, 2023	F-0576	Ensure residents have reasonable access to and privacy in their use of communication methods. Resident Rights Deficiencies · Resident rights & abuse/neglect	C · Minimal Widespread	Corrected Nov 3, 2023
Oct 7, 2021	K-0355	Properly select, install, inspect, or maintain portable fire extinguishes. Smoke Deficiencies · Environment & life safety	D · Potential harm Isolated	Corrected Nov 15, 2021
Oct 7, 2021	F-0812	Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary Deficiencies · Food, nutrition & hydration	F · Potential harm Widespread	Corrected Nov 15, 2021

“Corrected” does not erase a citation: the historical finding stays listed with its disposition. Narrative statements of deficiencies are not part of the CMS dataset; see Care Compare for the official inspection report.

Five-Star ratings

Federal · CMS

Overallstate 2.7

Health inspectionsstate 2.8

Staffingstate 3.8

Quality measuresstate 2.3

Long-stay QM

Short-stay QM

CMS ratings apply to CMS-certified nursing homes only and are relative within each state. They are not a guarantee of any individual resident’s experience.

Nurse staffing · hours per resident per day

Total nurse staffing3.34

State avg 4.20US avg 3.90

Registered nurse (RN)0.63

State avg 0.63US avg 0.69

Licensed practical nurse0.83

State avg 1.11US avg 0.86

Nurse aide1.87

State avg 2.46US avg 2.35

Weekend total nurse2.96

State avg 3.48US avg 3.43

Reported from Payroll-Based Journal (PBJ) data, as published by CMS. Case-mix adjusted total: 4.05 (case-mix index 1.15).

Staff turnover

Total nursing staff turnover57.5%

State avg 44.4%US avg 45.3%

Registered nurse turnover61.9%

State avg 36.6%US avg 42.5%

Administrators who left0

State avg 0US avg 1

Health survey score

Cycle 1 standard survey: Mar 27, 2025
Cycle 1 health score: 164
Total weighted score: 135

Operating entity

627 Middleton Road Opco LLC

CMS legal business name of the certified provider. Operates this facility only.

VerifiedLinked by exact legal name

CMS chain

Avardis Health

38 facilities in 4 states. CMS chain ID 843.

VerifiedAssigned by CMS

Chain average overall rating (CMS): 2.1

Ownership disclosures

Disclosures

20

Organizations

4

Individuals

14

Direct & indirect ownership

Owners of record

Name	Type	Role (Carefield group)	CMS role text	Share	Since
Winona Parentco LLC	Organization	Direct owner	5% OR GREATER DIRECT OWNERSHIP INTEREST	100%	May 1, 2025
Art and Soul Holdco LLC	Organization	Indirect owner	5% OR GREATER INDIRECT OWNERSHIP INTEREST	100%	May 1, 2025

CMS Ownership file

All disclosed roles

Operator, owners, managers, officers and lenders are distinct roles and are never flattened into one entity. Organizations link across facilities by exact normalized legal name; individuals are listed per facility only.

Name	Type	Role (Carefield group)	CMS role text	Share	Since
Winona Parentco LLC	Organization	Direct owner	5% OR GREATER DIRECT OWNERSHIP INTEREST	100%	May 1, 2025
Art and Soul Holdco LLC	Organization	Indirect owner	5% OR GREATER INDIRECT OWNERSHIP INTEREST	100%	May 1, 2025
Tiffany Hoback	Individual	Operational / managerial control	MANAGING CONTROL - GOVERNING BODY	not provided	May 1, 2025
John Thomas	Individual	Operational / managerial control	MANAGING CONTROL - GOVERNING BODY	not provided	May 1, 2025
SNF Mgr LLC	Organization	Operational / managerial control	OPERATIONAL/MANAGERIAL CONTROL	not provided	May 1, 2025
Tiffany Hoback	Individual	Operational / managerial control	OPERATIONAL/MANAGERIAL CONTROL	not provided	May 1, 2025
Tequilla Jones	Individual	Operational / managerial control	OPERATIONAL/MANAGERIAL CONTROL	not provided	May 1, 2025
Jonathan Matthews	Individual	Operational / managerial control	OPERATIONAL/MANAGERIAL CONTROL	not provided	Jun 1, 2025
Mercedes Peeples	Individual	Operational / managerial control	OPERATIONAL/MANAGERIAL CONTROL	not provided	May 1, 2025
Steven Rushing	Individual	Operational / managerial control	OPERATIONAL/MANAGERIAL CONTROL	not provided	Jun 1, 2025
John Thomas	Individual	Operational / managerial control	OPERATIONAL/MANAGERIAL CONTROL	not provided	May 1, 2025
Fc Encore Winona LLC	Organization	Mortgage / security interest	5% OR GREATER SECURITY INTEREST	not provided	May 1, 2025
Fc Encore Winona LLC	Organization	Additional disclosable party	ADP OF THE SNF	not provided	May 1, 2025
SNF Mgr LLC	Organization	Additional disclosable party	ADP OF THE SNF	not provided	Apr 18, 2025
Tiffany Hoback	Individual	Additional disclosable party	ADP OF THE SNF	not provided	May 1, 2025
Tequilla Jones	Individual	Additional disclosable party	ADP OF THE SNF	not provided	May 1, 2025
Jonathan Matthews	Individual	Additional disclosable party	ADP OF THE SNF	not provided	Jun 1, 2025
Mercedes Peeples	Individual	Additional disclosable party	ADP OF THE SNF	not provided	May 1, 2025
Steven Rushing	Individual	Additional disclosable party	ADP OF THE SNF	not provided	Jun 1, 2025
John Thomas	Individual	Additional disclosable party	ADP OF THE SNF	not provided	May 1, 2025

Same chain in Mississippi

All 37 in chain →

Facility	Beds	Last inspection	Citations (window)	Fines
Courtyard Health and Rehabilitation 501 South Locust Street, Mccomb, MS 39648 CCN 255145SFF CandidateAbuse icon	145	Jun 18, 2026	3610 IJ	$27k
Starkville Manor Health Care and Rehabilitation Ce 1001 Hospital Road, Starkville, MS 39759 CCN 255172	119	Jul 15, 2026	14	$52k
Grand Trace Health and Rehabilitation 555 John R. Junkin Drive, Natchez, MS 39120 CCN 255173	96	Apr 1, 2026	393 harm	$26k
Hilltop Manor Health and Rehabilitation Center 101 Kirkland Street, Union, MS 39365 CCN 255260	60	Aug 13, 2026	28	—
The Oaks Rehabilitation and Healthcare Center 3716 Highway 39 North, Meridian, MS 39301 CCN 255261	82	May 7, 2026	335 IJ	$32k

No building or property record is linked to this facility yet. Parcel, assessor and building-permit joins will be added only where a valid site match exists.

Coordinates as published by CMS.

Address: 627 Middleton Road, Winona, MS 38967
ZIP: 38967
County: Montgomery County FIPS 28097
State: Mississippi
Urban / rural (CMS): Rural

Within ~25 km

Nearby nursing homes

Facility	Distance	Beds	CMS overall	Last inspection	Citations (window)	Fines
Vaiden Community Living Center 868 Mulberry Street, Vaiden, MS 39176 CCN 255283	17.3 km	60		Aug 18, 2026	192 harm	$8,788

Source	Record	Facts	Evidence	Source release	Retrieved
CMS Provider Information US-CMS	255171	name, address, phone, certification, certified_beds, ownership_type, legal_business_name, chain	Verified	Oct 1, 2026	Nov 7, 2026
CMS Provider Information US-CMS	255171	ratings, staffing, health_survey_score Five-Star ratings and PBJ staffing apply to the CMS-certified universe only.	Verified	Oct 1, 2026	Nov 7, 2026

Record-level source links for CCN 255171

First seen by Carefield Nov 7, 2026 · last changed Nov 7, 2026. This record as JSON · Report a correction